Provider Demographics
NPI:1801780598
Name:MAJDALAWI, FADI MOHAMMAD
Entity type:Individual
Prefix:
First Name:FADI
Middle Name:MOHAMMAD
Last Name:MAJDALAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 HUNGARY RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2101
Mailing Address - Country:US
Mailing Address - Phone:804-980-9555
Mailing Address - Fax:
Practice Address - Street 1:2818 HUNGARY RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2101
Practice Address - Country:US
Practice Address - Phone:804-980-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT67176384343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)